Active NPI 1891882346 Individual Practitioner Male Practitioner

Dr. Rajaratnam Pathmarajah , MD

Internal Medicine • Middletown, OH

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Rajaratnam Pathmarajah, MD is a registered Internal Medicine practitioner in Middletown, OH. With approximately 28 years of clinical practice since completing medical education in 1998, Dr. Pathmarajah provides healthcare services at the registered practice location at 6730 ROOSEVELT AVE STE 303.

Dr. Pathmarajah is affiliated with Medicine Inpatient Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6730 Roosevelt Ave Ste 303

Middletown, OH 450050017

Telephone 5138740486

Fax 5132808868

Associated Practice Facility / Clinic

🏢 Medicine Inpatient Group, Llc Facility NPI 1326227307

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Middletown, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -1.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

27 Specialists

Practicing in Middletown, OH (5516 Statewide)

Telehealth Adoption Rate

14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathmarajah (28 Years) 28 Yrs

Middletown Specialty Average (29.0 Years) 29.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	711	248	$120.00	$73.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	373	172	$150.00	$110.57
99239 Hospital discharge day management, more than 30 minutes	358	307	$165.00	$106.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	199	174	$300.00	$161.36
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	15	14	$150.00	$23.05
99497 Advance care planning, first 30 minutes	13	13	$150.00	$70.33
99291 Critical care, first 30-74 minutes	11	11	$350.00	$199.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	741	267	$120.00	$76.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	408	175	$150.00	$115.01
99239 Hospital discharge day management, more than 30 minutes	353	314	$165.00	$110.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	178	163	$300.00	$167.64
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	17	17	$150.00	$24.08
99291 Critical care, first 30-74 minutes	16	16	$350.00	$207.42
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	14	13	$75.00	$11.40
99497 Advance care planning, first 30 minutes	13	13	$150.00	$72.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,049	304	$120.00	$69.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	479	203	$150.00	$99.44
99239 Hospital discharge day management, more than 30 minutes	279	252	$165.00	$101.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	171	162	$300.00	$192.69
99217 Hospital observation care on day of discharge	65	65	$120.00	$69.06
99220 Hospital observation care, typically 70 minutes	39	39	$275.00	$173.90
99225 Subsequent observation care, typically 25 minutes per day	22	21	$110.00	$68.85
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	18	$75.00	$11.76
99291 Critical care, first 30-74 minutes	17	16	$350.00	$214.87
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	15	11	$150.00	$24.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,216	382	$120.00	$70.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	483	233	$150.00	$100.30
99239 Hospital discharge day management, more than 30 minutes	295	255	$165.00	$103.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	222	210	$300.00	$195.70
99217 Hospital observation care on day of discharge	104	101	$120.00	$70.40
99220 Hospital observation care, typically 70 minutes	74	71	$275.00	$178.36
99225 Subsequent observation care, typically 25 minutes per day	45	37	$110.00	$70.48
99291 Critical care, first 30-74 minutes	28	27	$350.00	$217.91
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	27	25	$75.00	$12.32
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$350.00	$210.57
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	11	11	$150.00	$25.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	912	296	$120.00	$70.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	359	188	$150.00	$101.82
99239 Hospital discharge day management, more than 30 minutes	292	254	$165.00	$103.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	197	181	$300.00	$197.93
99217 Hospital observation care on day of discharge	63	61	$120.00	$70.63
99220 Hospital observation care, typically 70 minutes	48	47	$275.00	$181.30
99291 Critical care, first 30-74 minutes	40	40	$350.00	$218.77
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	25	23	$75.00	$12.09
99225 Subsequent observation care, typically 25 minutes per day	23	20	$110.43	$70.89
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	15	15	$150.00	$25.45
99497 Advance care planning, first 30 minutes	11	11	$150.00	$77.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	503	231	$120.00	$71.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	289	160	$150.05	$101.79
99239 Hospital discharge day management, more than 30 minutes	237	214	$165.00	$104.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	152	145	$300.00	$197.99
99217 Hospital observation care on day of discharge	89	85	$120.00	$71.15
99220 Hospital observation care, typically 70 minutes	68	66	$275.00	$181.71
99291 Critical care, first 30-74 minutes	42	40	$350.00	$219.08
99225 Subsequent observation care, typically 25 minutes per day	37	32	$110.00	$71.52
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	30	29	$75.00	$12.12
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	21	21	$150.00	$25.28
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$350.00	$212.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	795	314	$120.00	$71.31
99239 Hospital discharge day management, more than 30 minutes	329	290	$165.00	$104.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	250	152	$150.00	$102.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	213	196	$299.88	$198.81
99217 Hospital observation care on day of discharge	114	109	$120.00	$70.77
99220 Hospital observation care, typically 70 minutes	102	97	$275.00	$182.47
99291 Critical care, first 30-74 minutes	56	54	$350.00	$219.18
99225 Subsequent observation care, typically 25 minutes per day	30	26	$110.00	$71.61
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	27	27	$350.00	$214.21
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	23	21	$150.00	$25.21
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	13	$115.38	$12.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	870	344	$120.00	$66.81
99239 Hospital discharge day management, more than 30 minutes	344	299	$165.00	$99.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	278	258	$300.00	$187.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	255	143	$150.00	$96.66
99217 Hospital observation care on day of discharge	108	104	$120.00	$67.13
99220 Hospital observation care, typically 70 minutes	95	93	$275.00	$172.28
99291 Critical care, first 30-74 minutes	58	54	$350.00	$207.87
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	31	31	$350.00	$201.80
99225 Subsequent observation care, typically 25 minutes per day	27	25	$110.00	$67.43
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	23	23	$150.00	$23.64

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35-087707

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License OH 35-087707

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine - Adolescent Medicine

NUCC Taxonomy Code: 207RA0000X

State License OH 35.087707

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2700545 (OH)

Medicaid State Provider ID

201035790 (IN)

Medicaid State Provider ID

7100198040 (KY)

Commercial Insurance / Payer ID Bcbs Fairfield Hos

000000519937

Commercial Insurance / Payer ID Rr Medicare

P01013479 (OH)

Commercial Insurance / Payer ID Amerigroup

317497

Hospital & Practice Group Affiliations

Medicine Inpatient Group Llc

630 Eaton Ave, Hamilton, OH 450132767

Phone: 5138672000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Dr. Komal Tariq , MD

Internal Medicine

NPI 1003296591

Doctor of Medicine (M.D.)

Dr. Lotfi Mamlouk , MD

Internal Medicine

NPI 1013957216

Doctor of Medicine (M.D.)

Christina Harris , FNP

Nurse Practitioner - Family

NPI 1033461694

Family Nurse Practitioner

Dr. Chirag Shah , MD

Internal Medicine

NPI 1043274772

Doctor of Medicine (M.D.)

Summer Soliman , PA-C

Physician Assistant

NPI 1073371993

Physician Assistant (Certified)

Dr. Gregory Cj Moellering , MD

Physical Medicine & Rehabilitation

NPI 1194474247

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

✅

NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 19, 2017

Registered at 6730 ROOSEVELT AVE STE 303, MIDDLETOWN, OH 450050017 (Tel: 5138740486)

📍

Updated Business Mailing Address April 19, 2017

Registered at PO BOX 229, MIAMISBURG, OH 453430229 (Tel: 5138740486)

👤

Provider Name / Credentials Updated April 19, 2017

Recorded as RAJARATNAM PATHMARAJAH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Hospitalist (License #35-087707 in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Internal Medicine (License #35-087707 in OH)

✅

NPI Profile Active March 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2014

Registered at 8050 BECKETT CENTER DR, STE 108, WEST CHESTER, OH 450695017 (Tel: 5136187430)

📍

Updated Business Mailing Address March 24, 2014

Registered at 8050 BECKETT CENTER DR, STE 108, WEST CHESTER, OH 450695017 (Tel: 5136187430)

👤

Provider Name / Credentials Updated March 24, 2014

Recorded as RAJARATNAM PATHMARAJAH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2014

Internal Medicine (License #35-087707 in OH)

🟢

Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891882346

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 06, 2006

Last Update: April 19, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 229

Miamisburg, OH 453430229

Phone: 5138740486

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.